The study reported by Shihning Chou and Kevin Browne explored the link between institutional care for young children and international adoption, using a survey of 33 European countries. Official figures were available from 25 countries on the proportions of national versus international adoption within their own countries, together with the number of children under three in institutional care. Results indicate an association between international adoption (both incoming and outgoing) and a high number of young children in institutional care. The evidence suggests that, rather than reduce the number of children in institutions, international adoption may contribute to the continuation of this harmful practice. A child rights-based approach to providing alternative care for children separated from their parents is proposed.
